AGM 2011

ROUND TABLE MOROCCO

REGISTRATION FORM

PARTICIPANT

First Name	:
Lastname	:
PARTNER	:
Address	:
Phone	:
Fax	:
Email	:

TABLE - ASSOCIATION DETAILS

ASSOCIATION NAME/NUMBER :  

POSITION IN ASSOCIATION :

FLIGHT INFORMATION

ARRIVAL DATE & TIME:	DEPARTURE DATE & TIME:
ARRIVAL FLIGHT NUMBER:	DEPARTURE FLIGHT NUMBER:

REGISTRATION AND HOTEL ACCOMMODATION

350 €/Pax for registration	1 x 350 €
Partner	x 350 €
	TOTAL